Thursday, May 13, 2010

Pinched nerve in the cervical spine due to a herniated disc.Cervical spine and shoulder/arm treatment NYC.

Just last night we had a patient come in with extreme neck/shoulder arm pain.He had just had a MRI that confirmed presence of a C5/C6 disc herniation that was putting pressure on his C5/C6 nerve root and facet joint inflammation (similar to tiger woods recent injury.)We started him out on some moist heat and electro stimulation,followed by Cox cervical flexion distaction and a gentle Chiropractic adjustment.We followed that by cervical spinal decompression and then he was worked on by our Massage therapist.He did a complete 360 in one visit, he left with the biggest smile and almost 75% better in one visit.Awesome stuff!

Monday, May 10, 2010

Suffering with Low back pain and radiating leg pain (Sciatica) NYC?Call the experts at 212-627-8149 or visit us online at herniated disc treatment NYC

Why do I have Low back pain and radiating leg pain?It is necessary to differentiate between pain in the lower back and pain, which radiates down the leg. It is common for the layperson to combine them into one category, but to a physician or surgeon, they represent different problems.

Lower back pain is not due to the pressure on a nerve root, as lower extremity pain is. Most low back pain is muscular or mechanical in nature, caused by overexertion, overuse, strain or sprain of the ligaments and tendons of the low back. It may also be attributed to degeneration of the disk space and facet joints, which hold the spine together. It may be caused additionally by arthritis or stenosis or referred symptoms from organ involvement ( bladder, gall bladder, kidney, prostate) One must also rule out organic causes as any form of cancer, especially prostate cancer.

Lower extremity (leg) pain is often seen to radiate, termed “radicular pain.” This refers to pain which shoots down the leg (sciatica), from the low back or buttock. It usually results from pressure on a nerve, which produces a “pinching” of the nerve, which appears to radiate down the leg in the distribution of the nerve pattern. When the “pinching” of the nerve is mild, one may experience numbness or tingling. As it progresses and becomes more severe, pain may develop. Further progression may present actual damage to the nerve and weakness may also result.

Each nerve in the lumbar spine has a specific pathway. The nerves also carry three distinct characteristic properties. They carry all three of these properties to specific parts of the leg and foot.

One characteristic is known as the sensory distribution property. What this means is that a nerve will supply the sensory (sensations) property to a certain part of the leg. For example, the S1 root, which is the first sacral root, supplies sensation to the lateral aspect of the foot (little toe). One characteristic is known as the motor function property. What this means is that each nerve also supplies a characteristic muscle. The S1 root supplies the calf muscles (gastrocnemius), which allows each of us to stand on our toes. One characteristic is known as the reflex pattern property. Several of the nerves in the lumbar spine have a reflex associated with them. The S1 root has the achilles reflex, which is elicited by tapping on the tendon of the heel.

Leg Pain Brought On By Walking: Neurogenic claudication refers to pain in the lower extremities brought upon by walking. This is often caused by pressure upon the spinal nerves within the spinal canal, usually the result of the disc bulging into the nerves when standing.

Vascular or intermittent claudication is a type of pain, which must be distinguished from the leg, and lower extremity pain from above. Vascular claudication is due to insufficient blood supply to the legs (arterial insufficiency), and is also brought upon by walking. The difference between the two is that merely standing (without walking can cause neurogenic claudication but vascular claudication can only be brought on by walking.

It is extremely important to match the symptoms a patient experiences, with all the pertinent history of patient and family, and match it to the symptoms one would expect based on the:

General Physical Examination Orthopedic Examination Postural Evaluation Palpation Evaluation Range of Motion Evaluation Muscle Strength Testing X-rays, Labs, Diagnostics All of which are available at Low back and radiating leg pain treatment NYC

With decompression therapy,close to 80% of patients with herniated discs had relief of pain with recovery. Decompression is truly the most effective procedure for severe and chronic cases of bulging, herniated discs, degeneration, arthritis, stenosis and pressure on nerves.

Decompression is non-surgical, drug free and the safest method of the treatment of severe low back available. It also offers the highest percentage of recovery, with most patients well or better.NYC Disc decompression specialists visit www.nycdisc.com